NPIMap

Organization Active NPI

Lake County Office of Education

  • Local Education Agency (LEA)
  • Clearlake, CA
National Provider Identifier
1861820979
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LAKE COUNTY OFFICE OF EDUCATION
Practice address
6945 Old Highway 53
Clearlake, CA 95422
Phone
(707) 995-9523
Fax
(707) 995-9059
NPI assigned
Oct 29, 2013
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brock Falkenberg
Title
Superintendent
Phone
(707) 262-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

6945 Old Highway 53
Clearlake, CA 95422

Mailing address

1152 S Main St
Lakeport, CA 95453-5517
Phone (707) 995-9523

Other names 1

  • Clearlake Creativity School Other name

National Provider Directory

National Provider Directory
Tax ID family
Lake County Office of Education30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

6945 Old Highway 53
Clearlake, CA 95422
Phone (707) 262-4100

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1861820979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535517",
            "telephone_number": "707-995-9523",
            "fax_number": "707-995-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 OLD HIGHWAY 53",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "95422",
            "telephone_number": "707-995-9523",
            "fax_number": "707-995-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY OFFICE OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "FALKENBERG",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "707-262-4101"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearlake Creativity School",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clearlake Creativity School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearlake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.